Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,603.70 / $5,045.00 / $6,915.00	Facility		$1,603.70	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,372.50 / $1,671.83 / $3,427.15	Professional		$1,372.50	$1,671.83	$3,427.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,012.33 / $10,649.67	Facility		$1,538.99	$5,012.33	$10,649.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,407.04 / $2,201.13 / $4,124.78	Professional		$1,407.04	$2,201.13	$4,124.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,520.21 / $2,964.95 / $3,450.80	Facility		$2,520.21	$2,964.95	$3,450.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,649.91 / $2,415.94 / $4,154.04	Professional		$1,649.91	$2,415.94	$4,154.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,531.72 / $1,949.46 / $2,835.71	Professional		$1,531.72	$1,949.46	$2,835.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,629.00 / $10,000.00	Facility		$1,036.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,503.85 / $2,330.96 / $3,424.39	Professional		$1,503.85	$2,330.96	$3,424.39